Individual provider

Brad Blankenhorn, M.D.

Orthopaedic Surgery Physician Medicare enrolled

Brad Blankenhorn, M.D. is an Orthopaedic Surgery Physician in East Providence, RI, registered under NPI 1003033119. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1 KETTLE POINT AVE, East Providence, RI 02914. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1 KETTLE POINT AVE, East Providence, RI 02914 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD13206 RI Orthopaedic Surgery Physician primary
2012-0546 NM Orthopaedic Surgery Physician

Licences are recorded in 2 states: RI, NM. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Orthopedic Surgery
PAC ID
0749311801

Medicare enrolment is recorded as approved under the provider type Practitioner - Orthopedic Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: New Mexico and Rhode Island. The practice address on file is in East Providence, RI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NM New Mexico
Licence
2012-0546
Specialty
Orthopaedic Surgery Physician
Verify with the NM board →
RI Rhode Island practice address
Licence
MD13206
Specialty
Orthopaedic Surgery Physician
Verify with the RI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Orthopaedic Surgery covers

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. NUCC Health Care Provider Taxonomy, code 207X00000X
Allopathic & Osteopathic Physicians Orthopaedic Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207X00000X Orthopaedic Surgery Physician MD13206 RI primary
207X00000X Orthopaedic Surgery Physician 2012-0546 NM

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1003033119 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 19, 2007
Last updatedFeb 14, 2019
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 1 KETTLE POINT AVE
East Providence, RI 02914
(401) 330-1405
Fax (401) 277-0799
Mailing address PO BOX 1119
Providence, RI 02901
Other identifiers 110087299A · MASSHEALTH (RI)
BB81009 (RI)
The last update on file is Feb 14, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1003033119 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 0 3 3 1 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 0 3 0 3 6 1 2

Sum = 41 · next multiple of 10 = 50 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003033119?
NPI 1003033119 is the National Provider Identifier assigned to Brad Blankenhorn, M.D. in East Providence, RI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Orthopaedic Surgery Physician cover?
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital…
How do I contact Brad Blankenhorn, M.D.?
The phone number on file with NPPES is (401) 330-1405, last updated Feb 14, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Brad Blankenhorn, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1003033119 a valid number?
Yes. 1003033119 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.